So yɛbɛka nna ho haw ahorow a ɛde Parkinson Yare no ba no ho asɛm?

Sɛ wo anaa obi a wunim no wɔ Parkinson yare a, ebia wunim nsɛnnennen a ɛde ba no dedaw. Saa nsɛnnennen yi mu biako a ɛka nnipa pii, nanso ebia wontumi nka ho asɛm ne nna mu haw. Nokwarem no, nna pa ho hia ma nipadua ne adwene mu akwahosan nyinaa. Enti ɛnnɛ, momma yɛnka eyi ho asɛm nkɔ akyiri kakra , efisɛ misusuw sɛ saa nsɛm yi so bɛba wo mfaso kɛse.

Momma yenni kan nhwɛ nea Parkinson Yare no yɛ.

Sɛ yɛbɛka no tiawa a, Parkinson yare no yɛ tebea a ɛba bere a ntini mu nkwammoaa bi a ɛwɔ yɛn amemene mu, titiriw wɔ ɔfã a ɛhwɛ kankyee so no, yɛ mmerɛw nkakrankakra, ɛnyɛ adwuma, anaasɛ ewuwu bere a bere kɔ so no. Nnuruyɛfo frɛ eyi sɛ kankyee mu ɔhaw . Bere a saa ntini mu nkwammoaa yi sɛe no, sɛnkyerɛnne ahorow fi ase da adi wɔ yɛn nipadua mu.

Wobetumi akyekyɛ saa sɛnkyerɛnne ahorow yi mu abien titiriw.

Biako ne nea nnuruyɛfo frɛ no ‘motor symptoms’ , a ɛyɛ ɔhaw ahorow a ɛfa yɛn nipadua a yɛbɛkanyan ne yɛn kankyee a yɛhwɛ so no ho. Eyinom ho nhwɛso ne:

• Ntini a ɛyɛ den wɔ akwaa no mu, a ɛte sɛ ɔbotan .
• Akwaa a ɛwosow a wontumi nni so, titiriw nsa anaa anan (wosow) . Ɛtɔ mmere bi a, ebia woahu sɛ obi a ne mfe akɔ anim nsa rewosow kɛkɛ. Ebetumi ayɛ tebea a ɛte sɛɛ.
• Ɔhaw ahorow a ɛfa kari pɛ ho , nantew a ɛyɛ den anaa nnwuma a wɔyɛ (nsɛm a ɛfa nkitahodi ho).
• Sɛnea obi keka ne ho brɛoo (bradykinesia) . Eyi kyerɛ sɛ mprempren ɛte sɛ nea nnwuma a kan no na wɔyɛ no ntɛmntɛm no gye bere tenten ansa na wɔawie.

Ɔfã foforo no ne ‘nsɛnkyerɛnne a ɛnyɛ ntini mu yare’ . Eyinom ka yɛn nipadua ne yɛn adwene wɔ akwan horow so, de ka kankyee ho. Sɛ nhwɛso no, ebia wobɛte nka sɛ wo ho bɛsakra, wo ho atɔ wo hua, wobɛsakra w’ani so, wo ho ayɛ wo yaw, na ayɛ den sɛ wobɛkasa.

Abusuabɔ bɛn na ɛda Parkinson yare ne nna ntam?

Nokwarem no, abusuabɔ a ɛda Parkinson yare ne nna ntam no yɛ nea emu yɛ den yiye. Nyansahufo mpo nnya nte ase yiye. Nanso ade biako da adi pefee: Parkinson yare no betumi de nna ho haw aba tẽẽ.

Wo de susuw ho hwɛ, nhwehwɛmu ahorow bi kyerɛ sɛ ebia nna mu haw yɛ Parkinson yare no ho sɛnkyerɛnne a edi kan no mu biako! Sɛ nhwɛso no, akuturuku a wɔbɔ bere a wɔada, nteɛteɛm, ne nea ɛkeka ho.

Ɛnyɛ ɛno nko, na mmom nneɛma afoforo te sɛ nnuru a wonom ma Parkinson yare no, adwennwen ne dadwen a yare no de ba no nso betumi aka eyi. Nanso, wɔ nnipa pii a wɔwɔ Parkinson yare no fam no, nna pa a wɔbɛda ahomegye betumi ayɛ asɛnnennen kɛse .

Dae mu haw abu so dɛn wɔ Parkinson ayarefo mu?

Nokwarem no, ɛtaa ba paa. Sɛnea nhwehwɛmufo kyerɛ no, nnipa a wɔwɔ Parkinson yare noNnipa 3 biara mu bɛyɛ 2 wɔ ɔhaw bi a ɛfa nna ho. Ɛno kyerɛ sɛ ɛyɛ ɔhaw a ɛka nnipa pii. Ebia ɛtaa ba sen sɛnea wususuw.

Ɔkwan bɛn so na Parkinson yare no de nna ho haw ba?

Mprempren aduruyɛ ho abenfo gye di sɛ ebia nneɛma pii nti na ɛte saa. Momma yɛnhwɛ nea wɔyɛ:

• Amemene mu nnuru a ɛsakra: Nhwehwɛmu kyerɛ sɛ Parkinson yare no betumi asɛe nna ne nyane kyinhyia a ɛwɔ yɛn amemene mu no. Nsakrae a ɛba amemene mu nnuru bi te sɛ ntini mu nkwaadɔm te sɛ dopamine mu no betumi ama nna so atew na nna so atew.
• Nnuru: Nnuru bi a wɔde sa Parkinson yare no betumi ama ayɛ den sɛ wobɛda anaasɛ wobɛkanyan wo mpɛn pii. Nnuru bi betumi ama woada awia na ama woada anadwo. Eyi nti na ɛho hia sɛ wo ne wo duruyɛfo kasa fa nnuru a worenom no ho.
• Adwene mu akwahosan ho haw ahorow: Adwene mu haw te sɛ dadwen anaa adwenemhaw abu so wɔ nnipa a wɔwɔ Parkinson yare no mu. Adwene mu tebea horow yi mu biara betumi ama woada anadwo anaasɛ wobɛda den. Sɛ wuntumi nyi adesoa a ɛda w’adwene so no mfi hɔ a, worentumi nna.
• Parkinson ho sɛnkyerɛnne: Ebetumi ayɛ den sɛ wobɛda yiye esiane ɛyaw, ntini a ɛyɛ den, ne wosow a yare no de ba nti. Afei nso, sɛ wɔsɔre anadwo kɔtow nsu, ne nna mu ahomegye , a ɛtaa ba wɔ Parkinson yare no fã a edi akyiri mu no nso betumi asɛe nna.

Dae ho haw bɛn na Parkinson ayarefo hyia?

Parkinson yare no nka obiara ɔkwan koro so. Ɛsono sɛnea ɛka nna nso. Obi a ɔwɔ Parkinson yare no betumi anya nna ho haw ahorow a edidi so yi:

• Dae a wontumi nna: Ɛyɛ den sɛ wobɛda, sɛ wobɛda nnɔnhwerew pii bere a woada akyi. Ebia wobɛte nka nso sɛ w’adwene retu mmirika.
• Dae a apaapae: Ɔsɔre mpɛn pii anadwo. Ɔrentumi nna yiye bere tenten. Sɛ wosɔre anɔpa a, wote nka sɛ woanna yiye.
• Dae a ɛtra so awiabere: Dae a ɛtra so awiabere, ɛyɛ den sɛ ɔbɛda, na ɛyɛ den sɛ ɔbɛyɛ nneɛma awiabere. Ɛtɔ da bi a, ebia wobɛda bere a worekasa no.
• Adaeso a emu da hɔ yiye: Dae mu da hɔ araa ma ɛtɔ mmere bi a sɛ obi nyan a, ebetumi ayɛ te sɛ nsusuwii hunu na ɛde adwene a ɛyɛ basaa aba.
• Nkate mu adaeso anaa dae bɔne:Bere a woanyane afi dae a ɛte sɛɛ mu akyi no, ebia wobɛte ɔbrɛ kɛse, abasamtu, na ehu aka wo.

Dɛn ne ‘REM nna mu nneyɛe ho haw’?

Eyi yɛ tebea soronko kakra, na akyinnyegye wom. REM gyina hɔ ma Rapid Eye Movement, na eyi ne bere a yɛda kɛse na yɛda dae. Enti, obi a ɔwɔ ‘REM nna mu nneyɛe ho haw’ no da dae bi a wɔn nipadua yɛ wɔn adaeso ahorow ho agoru. Eyi kyerɛ sɛ ebia wɔbɛbɔ wɔn nsa ne wɔn nan wɔ wɔn nna mu, ateɛteɛm, afi mpa so ahwe ase, na mpo wɔayɛ wɔn ade wɔ akwan a ɛyɛ hu so a ebetumi apira wɔn ho anaa obi foforo a ɔda wɔn nkyɛn. Nnipa a wɔwɔ Parkinson yare no mu bɛyɛ fã nya saa tebea yi. Nhwehwɛmufo binom gye di sɛ ebia eyi yɛ Parkinson yare no ho sɛnkyerɛnne a edi kan.

Dae mu haw afoforo bɛn na wohu wɔ Parkinson ayarefo mu?

Wɔ REM nna mu nneyɛe ho haw akyi no, nna mu haw afoforo pii wɔ hɔ a ɛtaa ka nnipa a wɔwɔ Parkinson yare no:

• Circadian rhythm sleep disorders: Ɔhaw ahorow a ɛwɔ yɛn nipadua no abɔde mu nna-nyane kyinhyia (abɔde mu dɔn). Nneɛma te sɛ anadwo a wontumi nna ne ɔhaw a ɛne sɛ wobɛsɔre anɔpa.
• Anadwo: Sɛ obi nyane mpɛn pii (bɛboro mprenu anaa mprɛnsa) anadwo de tow nsu. Eyi betumi asɛe nna kɛse.
• Restless legs syndrome: Ɔhaw a wontumi nkyerɛkyerɛ mu, ɛhyew, na ɔte nka sɛ ɛsɛ sɛ wɔkanyan nan no, titiriw anwummere anaa anadwo. Ɔpɛ a wowɔ sɛ wobɛkanyan wo nan no mma wuntumi nna.
• Sleep apnea: Tebea a ɛma ahome gyae bere tiaa bi anaasɛ ɛyɛ nea emu nnɔ koraa bere a wada. Eyi betumi ama obi ataa asɔre anadwo esiane mframa pa a onnya, ɔbrɛ anɔpa, ne nna a ɔda awia nti. Ahurututu nso betumi ayɛ sɛnkyerɛnne.

Bere bɛn na ayarefo a wɔwɔ Parkinson no nya nna ho haw?

Ɛho hia sɛ yɛkae sɛ ɛnyɛ obiara a ɔwɔ Parkinson yare no na ɔwɔ nna ho haw. Nanso, sɛ wowɔ saa ɔhaw ahorow yi a, anka ebetumi afi ase ansa na wɔahu sɛ wowɔ Parkinson yare no, anaasɛ ebetumi asi bere biara bere a wɔahu sɛ woanya bi akyi .

Ɔkwan bɛn so na wobetumi ahu nna ho haw ahorow wɔ Parkinson ayarefo mu?

Sɛ wowɔ nna ho haw bi a, mmu w’ani ngu so. Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn na woasusuw wɔn ho kɔ akyiri . Wo duruyɛfo bebisa wo nsɛm na wate wo yare no ho sɛnkyerɛnne ase.

Siesie wo ho sɛ wobɛka nneɛma yi ho asɛm akyerɛ wo duruyɛfo:

• Bere bɛn na nna mu basaayɛ ba, na ɔkwan bɛn so na ɛba? (So ​​ɛyɛ den ma wo sɛ wobɛda? So wotaa sɔre? So woabrɛ anɔpa?)
• Ɛka wo da biara da asetra dɛn? (So ​​woda awia? So ɛyɛ den sɛ wode w’adwene besi adwuma so?)
• Nnuru afoforo bɛn na wonom?

Sɛ wokyerɛw nna ho kyerɛwtohɔ adapɛn kakraa bi a, ebetumi aboa wo ma woakae saa nsɛm yi pɛpɛɛpɛ. Ɛne sɛ, wobɛkyerɛw nneɛma te sɛ bere a woda, bere a wodaa (bɛyɛ sɛ), mpɛn dodow a wosɔree anadwo, bere a wosɔre anɔpa, ne sɛ ebia wotee nka sɛ woada awiabere.

Sɛ wo duruyɛfo susuw sɛ wowɔ nna mu haw bi a, obetumi ahyɛ sɛ wɔnyɛ nna ho nhwehwɛmu, a wɔsan frɛ no polysomnography , nna mu nhwehwɛmu titiriw bi. Nea ɛka eyi ho ne sɛ wobɛda ayaresabea anaa baabi a wobɛda anadwo a wode electrode ahorow a ɛnyɛ yaw abata wo nipadua ho na woahwɛ w’amemene mu asorɔkye, wo koma bɔ, wo home, w’ani a wokeka, ne wo nan a wokeka bere a woada no.

Ɔkwan bɛn so na wɔsa nna ho haw ahorow a ɛwɔ Parkinson ayarefo mu?

Sɛ wohu nea ɛde wo nna mu haw ahorow ba wie a, wo duruyɛfo bɛkamfo ayaresa a ɛfata akyerɛ wo. Esiane sɛ ɛsono obiara tebea nti, ebetumi ayɛ soronko wɔ ayaresa ho. Nneɛma atitiriw a wubetumi ayɛ ne:

• Nsakrae a wobɛyɛ wɔ wo Parkinson nnuru ne bere a wode di dwuma mu: Sɛ wususuw sɛ ebia Parkinson aduru bi na ɛde wo nna ho haw ahorow ba a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛsesa w’ayaresa nhyehyɛe no. Ebia eyi bɛhwehwɛ sɛ wobɛtew dodow a wode di dwuma no so, wobɛsakra bere a wode nom aduru no, anaasɛ wobɛdan akɔ aduru foforo so.
• Ayaresa pɔtee a wɔde sa nna mu haw ahorow:
• Sɛ wowɔ nna a wontumi nna a, ebia wɔbɛma wo nnuru a wɔde nna bere tiaa bi, nanso wobetumi de wo akɔ nneɛma te sɛ Cognitive Behavioral Therapy for Insomnia (CBT-I) nso so.
• Sɛ wowɔ REM nna mu nneyɛe ho haw a , ebia wɔbɛkyerɛw wo nnuru pɔtee bi (e.g., Clonazepam). Wobetumi nso atu wo fo sɛ ma baabi a woda no nyɛ nea ahobammɔ wom (sɛ nhwɛso no, wode mattress bɛto mpa no ho, yi nneɛma a ano yɛ nnam fi hɔ).
• Sɛ wowɔ nna mu ahomegye , ayaresa a wɔtaa de di dwuma ne CPAP (Continuous Positive Airway Pressure) afiri. Eyi yɛ adwuma denam mframa a ɛyɛ brɛoo a ɛde kɔ wo hwene anaa w’ano bere a woada no so, na ɛma wo mframa kwan no bue. Ebia nnipa binom nso de afiri a wɔde ano ka bedi dwuma.
• Sɛ wowɔ restless legs syndrome , wɔbɛsa wo yare wɔ nea ɛde ba no ho (e.g. dade a enni mu), anaasɛ wɔbɛma wo nnuru a wode bedi sɛnkyerɛnne ahorow no so.
• Asetra mu nsakrae ho nyansahyɛ: Wo da biara da su ne baabi a woda no nya wo nna so nkɛntɛnso kɛse.Wubetumi ama wo nna atu mpɔn denam wo su a wobɛma ayɛ sɛ wobɛda bere a wɔahyɛ mu, wobɛsɔre wɔ bere a wɔahyɛ mu (a wobɛkɔ so akura eyi mu wɔ dapɛn awiei mpo sɛnea wubetumi), wo dan mu a wobɛma ayɛ sum, ayɛ komm, na ɔhyew a ɛyɛ fɛ, na woakwati sɛ wobɛhwɛ ɛlɛtrɔnik mfiri (telefon, tablɛt, TV) dɔnhwerew biako anaa abien ansa na woada.

Dɛn bio na metumi ayɛ na ama Parkinson yare no ada yiye?

Wɔ aduruyɛ akyi no, ‘dae mu ahotew ho su pa’ a wubedi akyi nso betumi aboa wo ma woada ahomegye kɛse. Eyinom yɛ nneɛma a ɛnyɛ den koraa, nanso nea efi mu ba no ye paa.

Bɔ mmɔden sɛ wobɛyɛ saa nneɛma yi:

• Nya abɔde mu owia hann pii sɛnea wubetumi awiabere. Hann a ɛhyerɛn boa wo nipadua ma ɛkɔ so da ne sɔre kyinhyia a ɛfata.
• Ma wo nipadua no nyɛ adwuma awiabere. Apɔw-mu-teɛteɛ sɛnea wo nipadua tumi te. Nantew tiawa anaa ofie nnwuma bi mpo ye. Nanso, kwati apɔw-mu-teɛteɛ a emu yɛ den a ɛbɛn bere a wode bɛda.
• Sɔ akwan a wobɛfa so ama w’adwene mu adwo hwɛ. Sɛ nhwɛso no, fa aguare a ɛyɛ hyew, tie nnwom a ɛma obi dwo, dwennwen nneɛma ho, anaa kenkan nhoma bi (ɛnyɛ asɛm a ɛkanyan adwene).
• Mma ɔkɔm nnhyɛ wo ansa na woada, na nnnidi nkosi sɛ wobɛme. Ɛnyɛ hwee sɛ wubedi aduan a emu nyɛ duru.
• Fa wo mpa sie ma nna nkutoo. Mfa nni dwuma sɛ baabi a wobɛyɛ adwuma, ahwɛ TV, anaa wodidi.

Tew nneɛma yi so anaasɛ gyae sɛnea wubetumi biara:

• Mma nna nnkyɛ awiabere. Ɛnyɛ hwee sɛ wobɛda simma 20-30, nanso sɛ woda boro saa a, ebetumi aka wo nna anadwo.
• Kwati nnuru a ɛkanyan adwene, te sɛ caffeine (tii, kɔfe, chocolate, anonne a ɛyɛ dɛ bi) ne nicotine (sigaret) anyɛ yiye koraa no nnɔnhwerew anan kosi anum ansa na woada.
• Nnom nsa ansa na woada. Ɛwom sɛ mfiase no nsa betumi ama woada de, nanso akyiri yi ebetumi atew wo nna so na ama woanyane mpɛn pii.
• Gyae wo fon anaa TV hwɛ bere a wote mpa so no. Saa hann no ma melatonin, hormone a ɛboa wo ma woda no yɛ adwuma.

So nnuru a wɔde boa ma wɔda a wɔmfa nnuru nhyɛ mu no yɛ nea asiane biara nni ho ma ayarefo a wɔwɔ Parkinson?

Eyi yɛ asɛm a nnipa pii bisa. Nea ɛyɛ awerɛhow no, wɔnyɛ ano aduru pa. Ebia ɛbɛyɛ te sɛ nea nnuru a wɔde boa ma wɔda a wɔtɔn wɔ aduruyɛdan mu a wubetumi atɔ wɔ nnurutɔnbea a wunhia nnuru a wɔakyerɛw ama wo no sɛ ɔkwan a ɛyɛ mmerɛw na ahobammɔ wom a wobɛfa so adi wo nna ho haw ahorow ho dwuma, nanso ebetumi de asiane afoforo ne nsunsuanso bɔne aba nnipa a wɔwɔ Parkinson yare no so.

Nnuru bi a wɔtɔn a wɔmfa nnuru nhyɛ mu ne nnuru bi a wɔde da a oduruyɛfo kyerɛw ma no betumi ama Parkinson yare no ho sɛnkyerɛnne no asɛe kɛse (sɛ nhwɛso no, adwene a ɛyɛ basaa, sɛnea obi kari pɛ).Afei nso, nnuru bi a wɔde da betumi ne nnuru ne Parkinson nnuru adi nkitaho denneennen, na ɛde ɔhaw ahorow a wɔnhwɛ kwan aba. Enti, ɛho hia sɛ wo ne wo duruyɛfo kasa bere nyinaa na wohwehwɛ afotu ansa na woanom nnuru foforo biara, titiriw aduru a wɔde da.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wo nna ho haw ahorow reka wo da biara da asetra, w’adwuma, wo adwene, anaa w’asetra nyinaa a , ntwentwɛn wo nan ase sɛ wobɛbɔ wo duruyɛfo amanneɛ. Sɛ wowɔ sɛnkyerɛnne ahorow a ɛhaw wo, titiriw sɛ ebetumi ayɛ asiane ama wo anaa wɔn a wɔatwa wo ho ahyia (e.g., REM nna mu nneyɛe mu ɔhaw) a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.

Ɛtɔ mmere bi a, nna a ɛyɛ basaa betumi ayɛ adwenemhaw anaa dadwen a ɛfa Parkinson yare no ho ho sɛnkyerɛnne. Sɛ w’ani nnye ho bio sɛ ​​wobɛyɛ nneɛma a na w’ani gye ho, wote awerɛhow nka, wo ho yeraw wo, woyɛ ankonam, anaasɛ w’ani nnye nea ɛrekɔ so wɔ w’asetra mu ho a, wo ne wo duruyɛfo nka saa nneɛma yi ho asɛm. Nnipa binom hu sɛ wɔn ho tɔ wɔn bere a wɔafi aduru foforo bi ase anaasɛ wɔanya afotu akyi. Kae sɛ ɛnsɛ sɛ wuhu amane saa, na mmoa wɔ hɔ.

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae

Nhwehwɛmufo da so ara resua abusuabɔ a emu yɛ den a ɛda Parkinson yare ne nna ntam no ho ade pii. Sɛ yɛte sɛnea Parkinson yare no ka nna (ne sɛnea nna ka Parkinson yare no) ase pii a, ebetumi aboa yɛn ma yɛahu Parkinson yare no ntɛm na yɛayɛ ayaresa foforo a etu mpɔn sen mprempren ayaresa ahorow .

Nneɛma pii wɔ hɔ a wubetumi afa so asa wo nna ho haw ahorow na woadi ho dwuma. Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa pefee na woadi nokware afa nna ho haw biara a ebia worehyia ho. Wo ne wo duruyɛfo no bom betumi ayɛ nhyehyɛe bi a ɛfata wo tebea, wo nna, ne nsɛnnennen foforo biara a Parkinson yare no betumi de aba w’asetra mu yiye.

Kae sɛ ɛnyɛ wo nkutoo na woretu kwan yi. Sɛ wunya nsɛm ne mmoa a ɛfata a, wubenya ahoɔden de agyina nsɛnnennen yi ano. Nsuro da sɛ wobɛsrɛ mmoa.

` Parkinson yareɛ, nna, nna ho haw, ntini mu nyarewa, amemene, kankyee mu haw, REM nna mu haw, ayaresa